Read by QxMD icon Read


P Majdák, I Drexlerová, M Staňáková, P Malinjak, J Melicherík
We present a case of a 66 years old man without significant medical history who was admitted to a geriatric department of a local hospital for a critical clinical state with severe icterus (billirubin 368 µmol/l), acute renal failure (urea 48 mmol/l, creatinine 714 µmol/l) and severe thrombocytopaenia. When the patients son completed his personal history on the 4th day of hospitalization reporting that the patient had worked in a pub flooded during local floods, we also considered leptospirosis as a potential cause of his current state...
September 2012: Vnitr̆ní Lékar̆ství
J Regelsberger, O Heese, P Horn, M Kirsch, S Eicker, M Sabel, M Westphal
OBJECTIVE: Enquiries among surgical trainees revealed an increasing discontent regarding their quality of training. 40 % of young surgical trainees judge their training as inadequate and 70% are offered no structured training programme. Working time restrictions and economic pressure may be strong factors hindering residents from becoming skillful surgeons. Therefore, additional forms of training seem to be needed. METHOD: An in vivo swine model was evaluated for its practical use in training neurosurgical residents...
November 2011: Central European Neurosurgery
Michael A Erb, Thomas Claus, Martin Hartrumpf, Sebastian Bachmann, Johannes M Albes
OBJECTIVE: Fibrin glue products and collagen surgical patches (TachoSil) coated with coagulation factors I and IIa are increasingly being used to prevent oozing from distal or proximal coronary anastomosis. Furthermore, an increasing number of patients are being operated upon anti-platelet therapy. These patients often exhibit diffuse bleeding. Especially in an off-pump scenario surgeons refrain from placing additional stitches in order to avoid an impairment of the graft. In these situations, a biological glue can help resolve this dilemma...
October 2009: European Journal of Cardio-thoracic Surgery
J O Anders, J Mollenhauer, A Beberhold, R W Kinne, R A Venbrocks
The gelatin-based haemostyptic compound Spongostan was tested as a three-dimensional (3D) chondrocyte matrix in an in vitro model for autologous chondrocyte transplantation using cells harvested from bovine knees. In a control experiment of monolayer cultures, the proliferation or de-differentiation of bovine chondrocytes was either not or only marginally influenced by the presence of Spongostan (0.3 mg/ml). In monolayers and 3-D Minusheet culture chambers, the cartilage-specific differentiation markers aggrecan and type-II collagen were ubiquitously present in a cell-associated fashion and in the pericellular matrix...
March 2009: Journal of Bone and Joint Surgery. British Volume
Jörg Simon, Georg Bartsch, Florian Finter, Richard Hautmann, Robert de Petriconi
OBJECTIVE: To report a laparoscopic device that facilitates regional ischaemia in laparoscopic partial nephrectomy (LPN). PATIENTS AND METHODS: Mimicking the shape of a clamp successfully applied in open PN, we developed a laparoscopic device that allows selective clamping in LPN. After obtaining transperitoneal access to the renal mass, the laparoscopic clamp was placed around the tumour 1-2 cm proximal to the line of resection. After excising the tumour, haemostasis was mainly achieved by applying a haemostyptic agent...
March 2009: BJU International
M Cerný, K Havlícek, L Sákra, J Flasar
INTRODUCTION: Cannulation v. subclavia is connected with many complications. Haemothorax is occurs approximately in 2% of cases. Surgical revision is indicated immediately if a major blood loss or a circulation insufficiency occur. Surgical treatment of bleeding in cupola of pleural cavity is due to its bad accesability difficult and conventional surgical methods aren't sufficient. In these cases one can use local haemostyptic. CASE REPORT: The authors present a case review of a 36-years old patient with a developed massive haemothorax on the left side post a catheterization of v...
July 2008: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Jörg Simon, Robert de Petriconi, Michael Meilinger, Richard E Hautmann, Georg Bartsch
BACKGROUND: The indications for nephron-sparing surgery are expanding constantly. One major contributing fact for this development is the improvement of haemostatic techniques following excision of the tumor. Nevertheless, postoperative bleeding complications still occur. To prevent this, we prospectively studied the effect of application of small-intestine submucosa (SIS) over the renal defect. METHODS: We performed 55 nephron-sparing surgeries applying SIS between 08/03 and 10/06 in 53 pts...
2008: BMC Urology
Birgit Kruse-Loesler, Matthias Kelker, Johannes Kleinheinz
BACKGROUND: Dental surgery can be carried out on patients under oral anticoagulation therapy by using haemostyptic measures. The aim of the study was a comparative analysis of coagulation by laboratory methods and immediate patient diagnosis on the day of the planned procedure. METHODS: On the planned day of treatment, diagnoses were carried out on 298 patients for Prothrombin Time (PT), the International Normalised Ratio (INR), and Partial Thromboplastin Time (PTT)...
2005: Head & Face Medicine
No abstract text is available yet for this article.
March 1963: Current Therapeutic Research, Clinical and Experimental
M Czerny, F Verrel, H Weber, N Müller, L Kircheis, W Lang, B Steckmeier, W Trubel
BACKGROUND: Bleeding from suture holes during vascular reconstruction, particularly when polytetrafluoroethylene (PTFE) prostheses are used, is still a problem which can lead to intraoperative delay and increased blood loss. The aim of this prospective, randomised, open, controlled multicentre study was to evaluate whether the use of a new local haemostyptic would reduce intraoperative blood loss and the time to haemostasis. METHODS: Thirty patients received a new haemostyptic (TachoComb H, Nycomed Pharma AG), whereas another 30 patients were treated with compresses...
August 2000: Journal of Cardiovascular Surgery
U Schiele, G Kuntz, A Riegler
Preparations containing collagen play a prominent role among local haemostyptic agents in surgery. Sheets of collagen are used as degradable haemostyptic tampons. Various investigations have shown better haemostasis with collagen compared to other degradable materials, although the haemostyptic effect of these collagen preparations is limited. Concerning the mechanism of haemostasis, not all the reactions stimulated, e.g. by the collagen of an injured vessel wall, may be activated by a haemostyptic tampon from collagen...
1992: Clinical Materials
I Nolte, P Heyde, R Mischke, G Müller-Berghaus
The aim of the present study was to test the haemostyptic properties of a phospholipid complex with platelet factor-3 (PF-3) activity in platelet-dependent haemostatic disorders. The substance was investigated in an animal model comprising six investigational groups (five dogs each). A thrombocytopathy was created in the dogs belonging to groups 1-5 by intravenous administration of 20 mg/kg body weight (BW) acetylsalicylic acid (ASA). Two hours later a human albumin solution (5%) (control group) or a phospholipid complex with PF-3 activity was injected or infused intravenously in different dosages...
June 1994: Zentralblatt Für Veterinärmedizin. Reihe A
W Brands, M Beck, U Raute-Kreinsen
After splenectomy the immunologic impairment and the susceptibility to infection is increased, but the most important impetus for splenic preservation has been the observation of the overwhelming postsplenectomy sepsis. Successful results with surgical repair of traumatized spleen and several different techniques have been reported. Instead of suture of splenorrhaphy we used in our experiences a new biological adhesive-system, consisting in thrombin, highly concentrated native human fibrinogen and clotting factor XIII...
April 1981: Surgery in Infancy and Childhood
H E Koehnlein, U Mergard
No abstract text is available yet for this article.
April 1972: British Journal of Surgery
G L Grischin, B J Drosdovskij, O B Karjakin, L Pokorny, J Kelemen
In 31 patients (24 with urinary bladder carcinoma and 7 with gynaecological tumors) artificial embolisation of the hypogastric artery was effected using small spongy pieces of Gelaston or Spongostan or haemostyptic sponge. Uncontrollable bleedings supplied the indication for this measure. Bleeding stopped in 24 patients (19 tumours of the bladder and 5 gynaecological tumours) and was considerably reduced in 7 patients (5 bladder and 2 gynaecological tumours). Side effects in a major proportion of the patients consisted of pain or elevated temperature or fever lasting for several days...
November 1986: Röntgen-Blätter; Zeitschrift Für Röntgen-Technik und Medizinisch-wissenschaftliche Photographie
B C Adelmann-Grill, K Otto
A haemostatic agent and wound dressing made of horse collagen (Tachotop) was applied to guinea-pigs in such a way that the intended use of this material in humans was simulated, and cell-mediated and humoral immune responses of the animals were investigated. In addition, immune reactions were forcefully induced in guinea-pigs in order to validate the methodical approach and quantitate the observed reactions. Cell-mediated immunity was measured as delayed-type hypersensitivity skin reactions, and antibodies were detected by an enzyme-linked immunosorbent assay (ELISA)...
July 1987: Arzneimittel-Forschung
I Nolte, C Niemann, K Failing, G Müller-Berghaus
The administration of 20 mg/kg of acetylsalicylic acid in 18 clinically healthy dogs resulted in a thrombocytopathy with lengthened capillary bleeding time and irreversible aggregation inhibition. Through the set up of individual dilution series, one could conclude the proportional percentage of aggregation functional transfused thrombocytes. The capillary bleeding time was shortened after the intravenous injection of prednisolone (5 mg/kg) without measurable influence on the thrombocytes. Compared to the singular use of cortisone or blood transfusion alone, the effect on capillary bleeding time became magnified when one combined transfusion and corticosteroids...
1988: Tierärztliche Praxis
J Cervinka, M Kaláb, J Jedlicka, J Petrtýl, J Srnský, Z Marecek, V Kordac, J Vrána
Remestyp Spofa is used in wide clinical practice, among others also in the comprehensive treatment of acute haemorrhage from oesophageal varices. To patients with portal hypertension, oesophageal varices associated with cirrhosis of the liver by means of an infusion pump Remestyp was administered, 13.4 micrograms/1 kg body weight for one hour. By means of a Doppler flowmeter the rate of the blood flow and the blood flow through the trunk of the portal vein was assessed before, at 10-minute intervals during infusion, and during the 90th, 120th and 150th minute...
July 7, 1989: Casopís Lékar̆ů C̆eských
H A Merten, K Giesen
For haemostasis and to guarantee the drainage following operative procedures on the maxillary sinuses, the sinus is usually plugged with a gauze strip or balloon tamponade through the drainage window in the inferior nasal meatus. This generally causes massive edema of the face and subjective complaints of the patient, the risk of an anaerobe infection is increased. By using fibrin glue that is applied by a spray catheter into the maxillary sinus, there is no need of a tamponade as a haemostypt. The sinus is drained by a small vinyl tube through the window in the inferior nasal meatus...
May 1989: Deutsche Zeitschrift Für Mund-, Kiefer- und Gesichts-Chirurgie
H W Breuer, S Charchut, H Worth, H J Trampisch, K Glänzer
Glypressin is a vasopressin derivative which is used in the present study to stop pulmonary bleeding. The effects of endobronchially versus intravenously applied glypressin were examined during diagnostic fibreoptic bronchoscopy in 27 patients. Transcutaneously measured blood gases and haemodynamics were analysed after 1 mg glypressin was given. The glypressin plasma level was 251 fold higher after the intravenous than after the endobronchial administration. After endobronchial application no significant changes were observed for blood pressure, heart rate or blood gases...
March 1989: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"